Compounding Hood Certification Review

Annual review template for compounding hood and biological safety cabinet certification documentation, inspection status, and compliance verification.

Inspection Record and Asset Identification

• Asset identification matches the certification record
  Verify manufacturer, model, serial number, asset ID, and room/location match the current certification documentation.
• Review date and certification period are documented
  Record the annual review date and confirm the certification period being evaluated.
• Cabinet type is correctly identified
  Confirm whether the unit is a compounding hood, Class II biological safety cabinet, or other approved containment device.
• Unit is in the approved location for use
  Verify the cabinet is installed in the designated room and has not been relocated without approval.

Certification Documentation Review

• Current certification report is on file
  Verify a valid certification report is available for the most recent annual certification cycle.
• Certification date is within the required interval
  Confirm the certification is current and has not exceeded the required annual interval.
• Certification documentation includes required test results
  Verify documentation includes airflow or containment test results, HEPA integrity or leak test results where applicable, and final pass/fail status.
• Open deficiencies or non-conformances are documented
  Review whether any deficiencies were identified during certification and whether they have been closed or accepted per procedure.
• Corrective actions have closure evidence
  Confirm corrective actions include completion dates, responsible party, and evidence of resolution for any prior findings.

Physical Condition and Operational Readiness

• Work surface and interior are clean and free of residue
  Inspect the interior surfaces, work tray, and surrounding area for visible contamination, residue, or clutter.
• Sash, sash alarm, and viewing window are functional
  Verify the sash moves properly, the alarm functions as intended, and the viewing window is intact and unobstructed.
• No visible damage to seals, gaskets, filters, or cabinet structure
  Check for tears, gaps, corrosion, cracks, or other visible damage that could affect containment or performance.
• Airflow indicators are within acceptable operating range
  Record the displayed airflow or pressure indicator reading and confirm it is within the acceptable range per the manufacturer or SOP.
• Cabinet is free of obstructions at intake and exhaust areas
  Verify grilles, intake openings, and exhaust paths are unobstructed and not blocked by supplies or equipment.

Placement, Safety Controls, and Environmental Conditions

• Cabinet placement supports proper operation
  Verify the unit is not located near doors, high-traffic areas, supply vents, or other conditions that could disrupt airflow or containment.
• Electrical supply and emergency shutoff are accessible
  Confirm the power connection is secure and any emergency disconnect or shutoff is accessible and labeled.
• Required PPE and work practices are posted or available
  Verify required PPE, aseptic technique, and cabinet use instructions are posted or readily available to operators.
• No nearby condition indicates a fire-life-safety concern
  Check for blocked egress, combustible storage, or other hazards that could affect safe operation or emergency response.
• Annual review aligns with applicable safety program requirements
  Confirm the review is performed under the facility safety program and documented per internal compliance procedures.

Compliance Verification and Disposition

• Overall compliance status
  Select the final disposition for the cabinet based on documentation review and physical inspection.
• Restrictions or interim controls are documented
  If the unit is not fully compliant, document any restrictions, interim controls, or removal-from-service requirements.
• Corrective action owner and due date are assigned
  Record the responsible person, target completion date, and follow-up plan for any open deficiency.
• Inspector signature
  Signature of the person completing the annual review.